1024 (2) l-�•�[i.3 \1L__4 e-� �� ll�J1Y -LOT NO. #30-"'
NO. STREET
Tract #3150
�A leQN FOR APPLIANCE PERMIT
OF CUPERTINO
D ,1• 1 " 196...-- Permit No.
00
(� TT ((�� j1 l(�n Fee $CIAp�pliLaa4 on 13 IRWINthe City of Cupertino for a permit to install
co
0 gas appliances as listed on the reverse side hereof, and agrees to install said
t appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises_ Res.
2 —
Owner Camino Del Homes AddreB_
SAN CARLOS SHEET METAL WORKS, —7'�5'Elkfl 6AUNffTY RAAD ', AddresssCup
.
SAN CA. 0 q R AGENT .
Phone- li�' 1r� a I' AppiovedM
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y n AP y V � .�• C � F 00 � �i Y
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,QFFICE' .
COPY
J9 GAS GAS SERVIG `..:NOTICE
_ BUILDING U DING INSPE OR`.NOPPICE
CITY OF PERTINO� � '
------- . ` :.:_9.._................... 196+ -
To
- You are hereby an o ` ed to connect the erv'
Owner or Tenant ." _
At .-/1� �.. /f .. .. .:...... ......._
+ New Service `-
No. of Meters .- ----_--..--. Reconnect
Move .Service ---------
No. of Add. Meters ..... ........ -,Move Meter
-------------------------
PLUMBING, INSPECTOR
110 7/61-500 - _